Washington Rotating - INQUIRY FORM

63 Springfield Avenue
P.O. Box 261
Washington, PA 15301
(724)228-8889 Phone
(724)228-8912 Fax

INQUIRY FORM

To fulfill your request, we need to have the following data to assure you are receiving the proper information.

Date
Company Name
Address 1
Address 2
City		State or Province
Postal/Zip Code		Country
Telephone		Fax
Contact Person
Your Customer's Name
Address 1
Address 2
City		State or Province
If you are inquiring about parts for an existing Washington Rotating Control Head or Diverter, please specify Model No.	Serial No.

PARTS REQUIRED

Quantity    Part Number    Description
Quantity    Part Number    Description
Quantity    Part Number    Description
Quantity    Part Number    Description
Quantity    Part Number    Description

FOR EQUIPMENT INFORMATION

Specify type of drilling: GAS OIL DOMESTIC ENVIRONMENTAL

OTHER:

Make and Model of Rig
Kelly Sisze (if applicable)
Max. Table Opening

Drill Rod Size(s)	(a)O.D.	(b)O.D.	(c)O.D.
Tool Joint Size(s)	(a)O.D.	(b) O.D.	(c)O.D.
Casing or Pipe Size(s)	(a)O.D.	(b)O.D.	(c)O.D.
Drill Bit Size(s)	(a)	(b)	(c)
Type of Bit(s)	(a)	(b)	(c)

Specify if Air or Fluid Drilling

Air Drilling Fluid Drilling If Air, please specify: C.F.M. P.S.I.

Additional Comments or Specs.

For other information such as availability, delivery schedules, or other specifics, please send us a detailed e-mail. We will respond within 24 hours from receipt of your inquiry.

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